Individual provider Active NPI

Tamara Francis, FNP

  • Nurse Practitioner
  • Highland Park, NJ
National Provider Identifier
1205306966
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0239425 Issued in NJ
Practice address
119 Forest Glen Dr # 1
Highland Park, NJ 08904-1912
Phone
(718) 406-4015
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0239425 NJ Primary

Addresses

Primary practice location

119 Forest Glen Dr # 1
Highland Park, NJ 08904-1912

Mailing address

119 Forest Glen Dr # 1
Highland Park, NJ 08904-1912
Phone (718) 406-4015

Other identifiers 1

IdentifierTypeStateIssuer
0239425OtherNJCERTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210204003116 NJ Practitioner - Nurse Practitioner 2264846161 Reassigns benefits to 3 organizations
I20220707001737 NY Practitioner - Nurse Practitioner 2264846161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
344392NYMDAnesthesiology Physician
0239425NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Urgent Care PLLC CurrentSince Mar 12, 2022 Accepting new patients
MM JC Breathing Center Family LTD Partnership CurrentSince Oct 30, 2020 Accepting new patients
Citywide Urgent Care NJ LLC CurrentSince Jan 6, 2022 Accepting new patients
Modern Physician Services PC CurrentSince May 22, 2025 Accepting new patients

Locations

322 Glenwood Ave
5
Bloomfield, NJ 07003
Phone (332) 225-9814

322 Glenwood Ave
5
Bloomfield, NJ 07003
Phone (332) 225-9814

1856 John F Kennedy Blvd
Jersey City, NJ 07305
Phone (973) 645-0000

192 Harrison Ave
Jersey City, NJ 07304
Phone (201) 333-5363

100 Challenger Rd
Ste 303
Ridgefield Pk, NJ 07660

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

875 Utica Ave
Brooklyn, NY 11203
Phone (718) 964-6066

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD
  • Direct secure messaging: tamara.francis.1@14940.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1205306966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FOREST GLEN DR # 1",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041912",
            "telephone_number": "718-406-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FOREST GLEN DR # 1",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041912",
            "telephone_number": "718-406-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "TAMARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "0239425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "0239425",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.